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Hazem Edmond El-Osta

Internal Medicine

Allopathic & Osteopathic Physicians

6400 Fannin St, Suite 2900, Houston, TX 77030-1521

PECOS Enrollment

This provider is enrolled in PECOS as HAZEM EL-OSTA.

Based on the most recent information from CMS, provider Hazem Edmond El-Osta is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1497967194
Provider Type
Individual
Full Name
El-Osta, Hazem Edmond
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/4/2007
Last Updated
1/23/2017

Contact Information

Practice Location

6400 Fannin St, Suite 2900, Houston, TX 77030-1521

(832) 325-7702

(713) 512-7132

Mailing Location

6410 Fannin St, Suite 830, Houston, TX 77030-3000

(832) 325-7702

(713) 512-7132

Provider Taxonomies

Code	Description	License
Code 207RH0003X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD.203644 Louisiana
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD.203644 Louisiana

Hazem Edmond El-Osta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Taveras Alam, Sara Ines

Rafaeli, Natalie

Nastoupil, Loretta J

Cervoni Curet, Frances Natalia

Patel, Tejal Amar

Kamal, Anam

Shah, Shilpan Satish

Sun, Kai

Shah, Chintan Pareshbhai